Asherman’s Syndrome - Hysteroscopy

Symptoms

A 36 year old woman presented with secondary infertility. She had a 19 month old baby. She had planned a second pregnancy for 7 months. She had noted that her cycles were significantly lighter following the birth of the baby.

Diagnosis

Imaging of the uterine cavity (sonohysterogram) revealed significant intra-uterine adhesions (Asherman's Syndrome).

Procedure

These were divided at Hysteroscopy. The pathology revealed placental elements.

Significant intra-uterine adhesions seen at Hysteroscopy.

Dividing the adhesions at Hysteroscopy.

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The uterine cavity is slowly opened up.

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The uterine cavity at the end of the procedure. Openings of the tubes into the uterus are seen.